Nanogenerator for Biomedical Applications

Effect of electrical stimulation generated by self-powered systems for tissue repair

Bioelectricity plays an important role in tissue repair. Nanogenerators can harvest biomechanical energy and convert it into electrical signals, producing electrical stimulation (ES) for diverse biomedical applications including sensing, tissue repair, cardiac pacing, etc. This review focuses on the overview of the single or multifunctional role of ES generated by self-powered nanogenerators in bone and tendon, nerve, skin, and myocardial tissue repair. Particularly, to elucidate the differential cellular responses and effects on endogenous electric fields between conventional repair and ES-enhanced tissue regeneration, the possible mechanisms by which ES promotes repair in different tissues are summarized. Eventually, the ES parameters and the matching between the type of ES produced by the nanogenerator and the practical application scenario of biological tissue are discussed. The main challenges and future perspectives of nanogenerators in tissue therapy are also proposed, expecting to promote the development of this emerging restoration method. STATEMENT OF SIGNIFICANCE: As miniature devices for tissue repair, self-powered nanogenerators can achieve the ambitious goal of self-supplying energy and efficient tissue repair. This review article details the electrical stimulation generated by self-powered nanogenerators in different tissue repair by simulating and augmenting endogenous bioelectrical signals. Introducing the classification and mechanisms of nanogenerators and reviewing the influence of the electrical stimulation and electric field in bone and tendon, nerve, skin, and myocardial tissue repair. Notably, the possible mechanisms by which electrical stimulation acts on different tissues are concluded. Lastly, the match between types of nanogenerators and different tissues is proposed, and the main challenges and perspectives of nanogenerators in tissue therapy are also discussed.

Leveraging Nanoscience and Strategic Delivery for the Expedition of Osteoporosis

Osteoporosis is a globally affecting bone disease characterized by reduced bone mineral density, in which women are more insidious to the disease. It accounts for 8.9 million fractures annually, and about 50% of repeated hip fractures cause permanent disabilities. With the knowledge of determinants and pathology, various FDA-approved drugs and therapies are available for the management of the disease, but the challenges associated with those therapies lead to the adoption of nanotechnology in osteoporosis management. The nanosystems developed for the management of osteoporosis are nanogenerators, nanobubbles, microneedles, nanogels, implantable delivery systems, nanoparticles, nanofibrous scaffolds, and nanocements that probably address the current challenges related to the diagnosis and cure. In view of targeted accumulation of the cargo, various moieties assisted the nanocarrier system for selective distribution to bone, and the development of different types of nanotechnology-based delivery systems has been briefed in this review.

Electrical Stimulation Therapy - Dedicated to the Perfect Plastic Repair

Tissue repair and reconstruction are a clinical difficulty. Bioelectricity has been identified as a critical factor in supporting tissue and cell viability during the repair process, presenting substantial potential for clinical application. This review delves into various sources of electrical stimulation and identifies appropriate electrode materials for clinical use. It also highlights the biological mechanisms of electrical stimulation at both the subcellular and cellular levels, elucidating how these interactions facilitate the repair and regeneration processes across different organs. Moreover, specific electrode materials and stimulation sources are outlined, detailing their impact on cellular activity. The future development trends are projected from two perspectives: the optimization of equipment performance and the fulfillment of clinical demands, focusing on the feasibility, safety, and cost-effectiveness of technologies.

Unleashing the Potential of Electroactive Hybrid Biomaterials and Self-Powered Systems for Bone Therapeutics

The incidence of large bone defects caused by traumatic injury is increasing worldwide, and the tissue regeneration process requires a long recovery time due to limited self-healing capability. Endogenous bioelectrical phenomena have been well recognized as critical biophysical factors in bone remodeling and regeneration. Inspired by bioelectricity, electrical stimulation has been widely considered an external intervention to induce the osteogenic lineage of cells and enhance the synthesis of the extracellular matrix, thereby accelerating bone regeneration. With ongoing advances in biomaterials and energy-harvesting techniques, electroactive biomaterials and self-powered systems have been considered biomimetic approaches to ensure functional recovery by recapitulating the natural electrophysiological microenvironment of healthy bone tissue. In this review, we first introduce the role of bioelectricity and the endogenous electric field in bone tissue and summarize different techniques to electrically stimulate cells and tissue. Next, we highlight the latest progress in exploring electroactive hybrid biomaterials as well as self-powered systems such as triboelectric and piezoelectric-based nanogenerators and photovoltaic cell-based devices and their implementation in bone tissue engineering. Finally, we emphasize the significance of simulating the target tissue's electrophysiological microenvironment and propose the opportunities and challenges faced by electroactive hybrid biomaterials and self-powered bioelectronics for bone repair strategies.

Piezoelectric Properties of As-Spun Poly(vinylidene Fluoride)/Multi-Walled Carbon Nanotube/Zinc Oxide Nanoparticle (PVDF/MWCNT/ZnO) Nanofibrous Films

Conductive multi-walled carbon nanotubes (MWCNTs) as well as piezoelectric zinc oxide (ZnO) nanoparticles are frequently used as a single additive and dispersed in polyvinylidene fluoride (PVDF) solutions for the fabrication of piezoelectric composite films. In this study, MWCNT/ZnO binary dispersions are used as spinning liquids to fabricate composite nanofibrous films by electrospinning. Binary additives are conducive to increasing the crystallinity, piezoelectric voltage coefficient, and consequent piezoelectricity of as-spun films owing to the stretch-enhanced polarization of the electrospinning process under an applied electric field. PCZ-1.5 film (10 wt. % PVDF/0.1 wt. % MWCNTs/1.5 wt. % ZnO nanoparticles) contains the maximum β-phase content of 79.0% and the highest crystallinity of 87.9% in nanofibers. A sensor using a PCZ-1.5 film as a functional layer generates an open-circuit voltage of 10 V as it is subjected to impact loads with an amplitude of 6 mm at 10 Hz. The piezoelectric sensor reaches a power density of 0.33 μW/cm2 and a force sensitivity of 582 mV/N. In addition, the sensor is successfully applied to test irregular motions of a bending finger and stepping foot. The result indicates that electrospun PVDF/MWCNT/ZnO nanofibrous films are suitable for wearable devices.

Accelerated Bone Healing via Electrical Stimulation

Piezoelectric effect produces an electrical signal when stress is applied to the bone. When the integrity of the bone is destroyed, the biopotential within the defect site is reduced and several physiological responses are initiated to facilitate healing. During the healing of the bone defect, the bioelectric potential returns to normal levels. Treatment of fractures that exceed innate regenerative capacity or exhibit delayed healing requires surgical intervention for bone reconstruction. For bone defects that cannot heal on their own, exogenous electric fields are used to assist in treatment. This paper reviews the effects of exogenous electrical stimulation on bone healing, including osteogenesis, angiogenesis, reduction in inflammation and effects on the peripheral nervous system. This paper also reviews novel electrical stimulation methods, such as small power supplies and nanogenerators, that have emerged in recent years. Finally, the challenges and future trends of using electrical stimulation therapy for accelerating bone healing are discussed.

Enhancing cellular behavior in repaired tissue via silk fibroin-integrated triboelectric nanogenerators

Triboelectric nanogenerators (TENGs) have emerged as a promising approach for generating electricity and providing electrical stimuli in medical electronic devices. Despite their potential benefits, the clinical implementation of TENGs faces challenges such as skin compliance and a lack of comprehensive assessment regarding their biosafety and efficacy. Therefore, further research is imperative to overcome these limitations and unlock the full potential of TENGs in various biomedical applications. In this study, we present a flexible silk fibroin-based triboelectric nanogenerator (SFB-TENG) that features an on-skin substrate and is characterized by excellent skin compliance and air/water permeability. The range of electrical output generated by the SFB-TENG was shown to facilitate the migration and proliferation of Hy926, NIH-3T3 and RSC96 cells. However, apoptosis of fibroblast NIH-3T3 cells was observed when the output voltage increased to more than 20 V at a frequency of 2 Hz. In addition, the moderate electrical stimulation provided by the SFB-TENG promoted the cell proliferation cycle in Hy926 cells. This research highlights the efficacy of a TENG system featuring a flexible and skin-friendly design, as well as its safe operating conditions for use in biomedical applications. These findings position TENGs as highly promising candidates for practical applications in the field of tissue regeneration.

Powering the future: Exploring self-charging cardiac implantable electronic devices and the Qi revolution

The incidence and prevalence of cardiovascular diseases (CVD) have risen over the last few decades worldwide, resulting in a cost burden to healthcare systems and increasingly complex procedures. Among many strategies for treating heart diseases, treating arrhythmias using cardiac implantable electronic devices (CIEDs) has been shown to improve quality of life and reduce the incidence of sudden cardiac death. The battery-powered CIEDs have the inherent challenge of regular battery replacements depending upon energy usage for their programmed tasks. Nanogenerator-based  energy harvesters have been extensively studied, developed, and optimized continuously in recent years to overcome this challenge owing to their merits of self-powering abilities and good biocompatibility. Although these nanogenerators and others currently used in energy harvesters, such as biofuel cells (BFCs) exhibit an infinite spectrum of uses for this novel technology, their demerits should not be dismissed. Despite the emergence of Qi wireless power transfer (WPT) has revolutionized the technological world, its application in CIEDs has yet to be studied well. This review outlines the working principles and applications of currently employed energy harvesters to provide a preliminary exploration of CIEDs based on Qi WPT, which may be a promising technology for the next generation of functionalized CIEDs.

Nanocellulose-based nanogenerators for sensor applications: A review

With the rapid development of the Internet of Things, nanogenerator as a green energy collection technology has attracted great attention in various fields. Specifically, the natural renewable nanocellulose as a raw material can significantly improve the environmental friendliness of the nanocellulose-based nanogenerators, which also makes the nanocellulose based nanogenerators expected to further develop in areas such as wearable devices and sensor networks. This paper mainly reports the application of nanocellulose in nanogenerator, focusing on the sensor. The types, sources and preparation methods of nanocellulose are briefly introduced. At the same time, the special structure of nanocellulose highlights the advantages of nanocellulose in nanogenerators. Then, the application of nanocellulose-based nanogenerators in sensors is introduced. Finally, the future development prospects and shortcomings of this nanogenerator are discussed.

Recent Advances of Nanogenerator Technology for Cardiovascular Sensing and Monitoring

Cardiovascular sensing and monitoring is a widely used function in cardiovascular devices. Nowadays, achieving desired flexibility, wearability and implantability becomes a major design goal for the advancement of this family of devices. As an emerging technology, nanogenerator (NG) offers an intriguing promise for replacing the battery, an essential obstacle toward tissue-like soft electronics. This article reviews most recent advancements in NG technology for advanced cardiovascular sensing and monitoring. Based on the application targets, the discuss covers implantable NGs on hearts, implantable NGs for blood vessel grafts and patches, and wearable NGs with various sensing functions. The applications of NGs as a power source and as an electromechanical sensing element are both discussed. At the end, current challenges in this direction and future research perspectives are elaborated. This emerging and impactful application direction reviewed in this article is expected to inspire many new research and commercialization opportunities in the field of NG technology.

Microenvironment-targeted strategy steers advanced bone regeneration

Treatment of large bone defects represents a great challenge in orthopedic and craniomaxillofacial surgery. Traditional strategies in bone tissue engineering have focused primarily on mimicking the extracellular matrix (ECM) of bone in terms of structure and composition. However, the synergistic effects of other cues from the microenvironment during bone regeneration are often neglected. The bone microenvironment is a sophisticated system that includes physiological (e.g., neighboring cells such as macrophages), chemical (e.g., oxygen, pH), and physical factors (e.g., mechanics, acoustics) that dynamically interact with each other. Microenvironment-targeted strategies are increasingly recognized as crucial for successful bone regeneration and offer promising solutions for advancing bone tissue engineering. This review provides a comprehensive overview of current microenvironment-targeted strategies and challenges for bone regeneration and further outlines prospective directions of the approaches in construction of bone organoids.

Recent advances of cellular stimulation with triboelectric nanogenerators

Triboelectric nanogenerators (TENGs) are new energy collection devices that have the characteristics of high efficiency, low cost, miniaturization capability, and convenient manufacture. TENGs mainly utilize the triboelectric effect to obtain mechanical energy from organisms or the environment, and this mechanical energy is then converted into and output as electrical energy. Bioelectricity is a phenomenon that widely exists in various cellular processes, including cell proliferation, senescence, apoptosis, as well as adjacent cells' communication and coordination. Therefore, based on these features, TENGs can be applied in organisms to collect energy and output electrical stimulation to act on cells, changing their activities and thereby playing a role in regulating cellular function and interfering with cellular fate, which can further develop into new methods of health care and disease intervention. In this review, we first introduce the working principle of TENGs and their working modes, and then summarize the current research status of cellular function regulation and fate determination stimulated by TENGs, and also analyze their application prospects for changing various processes of cell activity. Finally, we discuss the opportunities and challenges of TENGs in the fields of life science and biomedical engineering, and propose a variety of possibilities for their potential development direction.

Pyroelectric Janus nanomotors for synergistic electrodynamic-photothermal-antibiotic therapies of bacterial infections

Antibacterial electrotherapy is currently activated by external electric field or self-powered generators, but usually needs complicated power management circuits. Herein, near-infrared illumination (NIR) of pyroelectric nanoparticles (NPs) produces a built-in electric field to address the effectiveness and safety concerns in the antibacterial treatment. Janus tBT@PDA NPs were obtained by capping polydopamine (PDA) on tetragonal BaTiO₃ (tBT) NPs through defining the polymerization time, followed by ciprofloxacin (CIP) loading on the PDA caps to fabricate Janus tBT@PDA-Cip NPs. NIR illumination of PDA caps creates temperature variations on tBT NPs to generate photothermal and pyroelectric effects. Finite element simulation reveals a pyroelectric potential of over 1 V and sufficient reactive oxygen species (ROS) are produced to exhibit pyroelectric dynamic therapy (PEDT). The elevated temperature on one side of the Janus NPs produces thermophoretic force to drive NP motion, which enhances interactions with bacteria and overcomes limitations in the short action distance and lifespan of ROS. The pyroelectric field accelerates CIP release through weakening the π-π stacking and electrostatic interaction with PDA and also interrupts membrane potentials of bacteria to enhance CIP invasion into bacteria. The synergistic antibacterial effect of pyroelectric tBT@PDA-Cip NPs causes the fully recovery of S. aureus-infected skin wounds and regeneration of intact epidermis, blood vessels and hair follicles, while no obvious pathological change or inflammatory lesion is detected in the major organs. Thus, the pyroelectric Janus nanomotors demonstrate synergistic PEDT/photothermal/antibiotic effects to enhance antibacterial efficacy while avoiding the necessity of excessive heat, ROS and antibiotic doses. STATEMENT OF SIGNIFICANCE: Antibacterial treatment is challenged by antibiotics-derived side effects and the evolution of resistant strains. Phototherapy is commonly associated with excessive heat and oxidative stress, and their combinations with other agents are especially encouraged to strengthen antibacterial efficacy while alleviating the associated side effects. Electric field is another activator to generate antibacterial abilities, but usually requires complicated power management and bulk electrodes, making it inconvenient in a biological setup. To address these challenges, we propose a strategy to generate microelectric field on nanoparticles themselves and achieve synergistic electrodynamic-photothermal-antibiotic therapies. The pyroelectric effect weakens interactions between nanoparticles and antibiotics to accelerate drug release, and the built-in pyroelectric field increases membrane fluidity to enhance bacterial uptake of antibiotics.

Advanced triboelectric nanogenerator-driven drug delivery systems for targeted therapies

In the current decade, remarkable efforts have been made to develop a self-regulated, on-demand and controlled release drug delivery system driven by triboelectric nanogenerators (TENGs). TENGs have great potential to convert biomechanical energy into electricity and are suitable candidates for self-powered drug delivery systems (DDSs) with exciting features such as small size, easy fabrication, biocompatible, high power output and economical. This review exclusively explains the development and implementation process of TENG-mediated, self-regulated, on-demand and targeted DDSs. It also highlights the recently used TENG-driven DDSs for cancer therapy, infected wounds healing, tissue regeneration and many other chronic disorders. Moreover, it summarises the crucial challenges that are needed to be addressed for their universal applications. Finally, a roadmap to advance the TENG-based drug delivery system developments is depicted for the targeted therapies and personalised healthcare.

Thin Film Piezoelectric Nanogenerator Based on (100)-Oriented Nanocrystalline AlN Grown by Pulsed Laser Deposition at Room Temperature

In wearable or implantable biomedical devices that typically rely on battery power for diagnostics or operation, the development of flexible piezoelectric nanogenerators (NGs) that enable mechanical-to-electrical energy harvesting is finding promising applications. Here, we present the construction of a flexible piezoelectric nanogenerator using a thin film of room temperature deposited nanocrystalline aluminium nitride (AlN). On a thin layer of aluminium (Al), the AlN thin film was grown using pulsed laser deposition (PLD). The room temperature grown AlN film was composed of crystalline columnar grains oriented in the (100)-direction, as revealed in images from transmission electron microscopy (TEM) and X-ray diffraction (XRD). Fundamental characterization of the AlN thin film by piezoresponse force microscopy (PFM) indicated that its electro-mechanical energy conversion metrics were comparable to those of c-axis oriented AlN and zinc oxide (ZnO) thin films. Additionally, the AlN-based flexible piezoelectric NG was encapsulated in polyimide to further strengthen its mechanical robustness and protect it from some corrosive chemicals.

Recent Advances in Self-Powered Wearable Sensors Based on Piezoelectric and Triboelectric Nanogenerators

Early clinical diagnosis and treatment of disease rely heavily on measuring the many various types of medical information that are scattered throughout the body. Continuous and accurate monitoring of the human body is required in order to identify abnormal medical signals and to locate the factors that contribute to their occurrence in a timely manner. In order to fulfill this requirement, a variety of battery-free and self-powered methods of information collecting have been developed. For the purpose of a health monitoring system, this paper presents smart wearable sensors that are based on triboelectric nanogenerators (TENG) and piezoelectric nanogenerators (PENG), as well as hybrid nanogenerators that combine piezoelectric and triboelectric nanogenerators (PTNG). Following the presentation of the PENG and TENG principles, a summary and discussion of the most current developments in self-powered medical information sensors with a variety of purposes, structural designs, and electric performances follows. Wearable sensors that generate their own electricity are crucial not only for the proper development of children and patients with unique conditions, but for the purpose of maintaining checks on the wellbeing of the elderly and those who have recently recovered from illness, and for administering any necessary medical care. This work sought to do two things at once: provide perspectives for health monitoring, and open up new avenues for the analysis of long-distance biological movement status.

Emerging Development of Auto-Charging Sensors for Respiration Monitoring

In recent years, the development of biomedical monitoring systems, including respiration monitoring systems, has been accelerated. Wearable and implantable medical devices are becoming increasingly important in the diagnosis and management of disease and illness. Respiration can be monitored using a variety of biosensors and systems. Auto-charged sensors have a number of advantages, including low cost, ease of preparation, design flexibility, and a wide range of applications. It is possible to use the auto-charged sensors to directly convert mechanical energy from the airflow into electricity. The ability to monitor and diagnose one's own health is a major goal of auto-charged sensors and systems. Respiratory disease model output signals have not been thoroughly investigated and clearly understood. As a result, figuring out their exact interrelationship is a difficult and important research question. This review summarized recent developments in auto-charged respiratory sensors and systems in terms of their device principle, output property, detecting index, and so on. Researchers with an interest in auto-charged sensors can use the information presented here to better understand the difficulties and opportunities that lie ahead.

Nerve Stimulation by Triboelectric Nanogenerator Based on Nanofibrous Membrane for Spinal Cord Injury

Spinal cord injury (SCI) is a devastating and common neurological disorder that is difficult to treat. The pain can sustain for many years, making the sufferer extremely painful. Nerve stimulation was first reported half a century ago as a treatment for neuropathic pain. Since then, the method of electrical stimulation through leads placed in the epidural space on the dorsal side of the spinal cord has become a valuable therapeutic tool for SCI. But nerve stimulation equipment is expensive, and the stimulator design and treatment plan are complicated, which hinders its development. In recent years, wearable and implantable triboelectric nanogenerators (TENGs) developed rapidly, and their low cost and safety have brought a new turning point for the development of nerve stimulation. Nanofibrous membrane has been proved that it is a flexible material with the advantages of ultrathin diameter, good connectivity, easy scale-up, tunable wettability, fine flexibility, tunable porosity, controllable composition and so on. In this paper, we discuss the technology of using nanofiber membrane on clothing to create TENGs to provide continuous electrical energy for nerve stimulation to treat SCI in patients by analyzing previous research.

Stretchable graded multichannel self-powered respiratory sensor inspired by shark gill

Respiratory sensing provides a simple, non-invasive, and efficient way for medical diagnosis and health monitoring, but it relies on sensors that are conformal, accurate, durable, and sustainable working. Here, a stretchable, multichannel respiratory sensor inspired by the structure of shark gill cleft is reported. The bionic shark gill structure can convert transverse elastic deformation into longitudinal elastic deformation during stretching. Combining the optimized bionic shark gill structure with the piezoelectric and the triboelectric effect, the bionic shark gill respiratory sensor (BSG-RS) can produce a graded electrical response to different tensile strains. Based on this feature, BSG-RS can simultaneously monitor the breathing rate and breathing depth of the human body accurately, and realize the effective recognition of the different human body's breathing state under the supporting software. With good stretchability, wearability, accuracy, and long-term stability (50,000 cycles), BSG-RS is expected to be applied as self-powered smart wearables for mobile medical diagnostic analysis in the future.

Bone Repairment via Mechanosensation of Piezo1 Using Wearable Pulsed Triboelectric Nanogenerator

Bone repair in real time is a challenging medical issue for elderly patients; this is mainly because aged bone marrow mesenchymal stem cells (BMSCs) possess limited osteogenesis potential and repair capacity. In this study, triboelectric stimulation technology is used to achieve bone repair via mechanosensation of Piezo1 by fabricating a wearable pulsed triboelectric nanogenerator (WP-TENG) driven by human body movement. A peak value of 30 µA has the optimal effects to rejuvenate aged BMSCs, enhance their osteogenic differentiation, and promote human umbilical vein endothelial cell tube formation. Further, previous studies demonstrate that triboelectric stimulation of a WP-TENG can reinforce osteogenesis of BMSCs and promote the angiogenesis of human umbilical vein endothelial cells (HUVECs). Mechanistically, aged BMSCs are rejuvenated by triboelectric stimulation via the mechanosensitive ion channel Piezo1. Thus, the osteogenesis potential of BMSCs is enhanced and the tube formation capacity of HUVECs is improved, which is further confirmed by augmented bone repair and regeneration in in vivo investigations. This study provides a potential signal transduction mechanism for rejuvenating aged BMSCs and a theoretical basis for bone regeneration using triboelectric stimulation generated by a WP-TENG.

Physical Stimulation Combined with Biomaterials Promotes Peripheral Nerve Injury Repair

Peripheral nerve injury (PNI) is a clinical problem with high morbidity that can cause severe damage. Surgical suturing or implants are usually required due to the slow speed and numerous factors affecting repair after PNI. An autologous nerve graft is the gold standard for PNI repair among implants. However, there is a potential problem of the functional loss of the donor site. Therefore, tissue-engineered nerve biomaterials are often used to bridge the gap between nerve defects, but the therapeutic effect is insufficient. In order to enhance the repair effect of nerve biomaterials for PNI, researchers are seeking to combine various stimulation elements, such as the addition of biological factors such as nerve growth factors or physical factors such as internal microstructural modifications of catheters and their combined application with physical stimulation therapy. Physical stimulation therapy is safer, is more convenient, and has more practical features than other additive factors. Its feasibility and convenience, when combined with nerve biomaterials, provide broader application prospects for PNI repair, and has therefore become a research hot spot. This paper will review the combined application of physical stimulation and biomaterials in PNI repair in recent years to provide new therapeutic ideas for the future use of physical stimulation in PNI repair.

New strategies for energy supply of cardiac implantable devices

BACKGROUND

Heart disease and atrial fibrillation are the leading causes of death worldwide. Patient morbidity and mortality associated with cardiovascular disease can be reduced by more accurate and continuous diagnostic and therapeutic tools provided by cardiovascular implantable electronic devices (CIEDs).

OBJECTIVES

Long-term operation of CIEDs continues to be a challenge due to limited battery life and the associated risk of device failure. To overcome this issue, new approaches for autonomous battery supply are being investigated.

RESULTS

Here, the state of the art in CIED power supply is presented and an overview of current strategies for autonomous power supply in the cardiovascular field is given, using the body as a sustainable energy source. Finally, future challenges and potentials as well as advanced features for CIEDs are discussed.

CONCLUSION

CIEDs need to fulfil more requirements for diagnostic and telemetric functions, which leads to higher energy requirements. Ongoing miniaturization and improved sensor technologies will help in the development of new devices.

Shape Designed Implanted Drug Delivery System for In Situ Hepatocellular Carcinoma Therapy

In this study, an intelligent drug delivery system (DDS) based on implanted triboelectric nanogenerator (iTENG) and red blood cell (RBC) is established for in situ hepatocellular carcinoma (HCC) therapy. Apatinib (APA), as an oral antitumor drug, which can inhibit the expression of vascular endothelial growth factor receptor-2 (VEGFR2) is loaded inside RBC, realizing the transform from oral formulation to injection preparation. Multishape designed iTENG adapted for different implant sites and environments can harvest biomechanical energy efficiently. The electric field (EF) generated by the iTENG can increase the release of APA, and the release will decrease quickly when the EF disappears, which shows that the DDS is highly controllable. The controllable DDS demonstrates an exciting killing ability of HCC cells both in vitro and in vivo with strikingly reduced APA dosage. After implantation, the self-powered DDS has a prominent therapeutic effect of HCC-bearing rabbits, which is expected to be applied in clinical medicine.

What can AI-TENG do for Low Abundance Biosensing?

Biosensing technology helps prevent, diagnose, and treat diseases and has attracted more and more researchers in recent years. Artificial intelligence-based triboelectric nanogenerators (AI-TENG) are promising for applications in biosensors due to their myriad of merits, including high efficiency and precision, low cost, light weight, and self-powered. This article aims to show how artificial intelligence and triboelectric nanogenerators have been combined to develop biosensors. We first focus on the working principle of triboelectric nanogenerators and the method of combining them with artificial intelligence. Secondly, we highlight the representative research work of AI-TENG in biomolecules sensing, organic compounds, and complex mixture of cells. Finally, this paper concludes with a summary and prospect on the existing challenges and possible solutions in the application of AI-TENG to the field of biosensors.

Engineering the Defects and Microstructures in Ferroelectrics for Enhanced/Novel Properties: An Emerging Way to Cope with Energy Crisis and Environmental Pollution

In the past century, ferroelectrics are well known in electroceramics and microelectronics for their unique ferroelectric, piezoelectric, pyroelectric, and photovoltaic effects. Nowadays, the advances in understanding and tuning of these properties have greatly promoted a broader application potential especially in energy and environmental fields, by harvesting solar, mechanical, and heat energies. For example, high piezoelectricity and high pyroelectricity can be designed by defect or microstructure engineering for piezo- and pyro-catalyst, respectively. Moreover, highly piezoelectric and broadband (UV-Vis-NIR) light-responsive ferroelectrics can be designed via defect engineering, giving rise to a new concept of photoferroelectrics for efficient photocatalysis, piezocatalysis, pyrocatalysis, and related cocatalysis. This article first summarizes the recent developments in ferroelectrics in terms of piezoelectricity, pyroelectricity, and photovoltaic effects based on defect and microstructure engineering. Then, the potential applications in energy generation (i.e., photovoltaic effect, H2 generation, and self-powered multisource energy harvesting and signal sensing) and environmental protection (i.e., photo-piezo-pyro- cocatalytic dye degradation and CO2 reduction) are reviewed. Finally, the outlook and challenges are discussed. This article not only covers an overview of the state-of-art advances of ferroelectrics, but also prospects their applications in coping with energy crisis and environmental pollution.

Advanced Implantable Biomedical Devices Enabled by Triboelectric Nanogenerators

Implantable biomedical devices (IMDs) play essential roles in healthcare. Subject to the limited battery life, IMDs cannot achieve long-term in situ monitoring, diagnosis, and treatment. The proposal and rapid development of triboelectric nanogenerators free IMDs from the shackles of batteries and spawn a self-powered healthcare system. This review aims to overview the development of IMDs based on triboelectric nanogenerators, divided into self-powered biosensors, in vivo energy harvesting devices, and direct electrical stimulation therapy devices. Meanwhile, future challenges and opportunities are discussed according to the development requirements of current-level self-powered IMDs to enhance output performance, develop advanced triboelectric nanogenerators with multifunctional materials, and self-driven close-looped diagnosis and treatment systems.

Self-Powered Electrical Impulse Chemotherapy for Oral Squamous Cell Carcinoma

Oral squamous cell carcinoma (OSCC) is a common oral cancer of the head and neck, which causes tremendous physical and mental pain to people. Traditional chemotherapy usually results in drug resistance and side effects, affecting the therapy process. In this study, a self-powered electrical impulse chemotherapy (EIC) method based on a portable triboelectric nanogenerator (TENG) was established for OSCC therapy. A common chemotherapeutic drug, doxorubicin (DOX), was used in the experiment. The TENG designed with zigzag structure had a small size of 6 cm × 6 cm, which could controllably generate the fixed output of 200 V, 400 V and 600 V. The electrical impulses generated by the TENG increased the cell endocytosis of DOX remarkably. Besides, a simply and ingeniously designed microneedle electrode increased the intensity of electric field (EF) between two adjacent microneedle tips compared with the most used planar interdigital electrode at the same height, which was more suitable for three-dimensional (3D) cells or tissues. Based on the TENG, microneedle electrode and DOX, the self-powered EIC system demonstrated a maximal apoptotic cell ratio of 22.47% and a minimum relative 3D multicellular tumor sphere (MCTS) volume of 160% with the drug dosage of 1 μg mL-1.

Self-assisted wound healing using piezoelectric and triboelectric nanogenerators

The complex process of wound healing depends on the coordinated interaction between various immunological and biological systems, which can be aided by technology. This present review provides a broad overview of the medical applications of piezoelectric and triboelectric nanogenerators, focusing on their role in the development of wound healing technology. Based on the finding that the damaged epithelial layer of the wound generates an endogenous bioelectric field to regulate the wound healing process, development of technological device for providing an exogenous electric field has therefore been paid attention. Authors of this review focus on the design and application of piezoelectric and triboelectric materials to manufacture self-powered nanogenerators, and conclude with an outlook on the current challenges and future potential in meeting medical needs and commercialization.

Recent progress of self-powered respiration monitoring systems

Wearable and implantable medical devices are playing more and more key roles in disease diagnosis and health management. Various biosensors and systems have been used for respiration monitoring. Among them, self-powered sensors have some special characteristics such as low-cost, easy preparation, highly designable, and diversified. The respiratory airflow can drive the self-powered sensors directly to convert mechanical energy of the airflow into electricity. One of the major goals of the self-powered sensors and systems is realizing health monitoring and diagnosis. The relationship between the output signals and the models of respiratory diseases has not been studied deeply and clearly. Therefore, how to find an accurate relationship between them is a challenging and significant research topic. This review summarized the recent progress of the self-powered respiratory sensors and systems from aspects of device principle, output property, detecting index and so on. The challenges and perspectives have also been discussed for reference to the researchers who are interested in the field of self-powered sensors.

Long-term in vivo operation of implanted cardiac nanogenerators in swine

Implantable nanogenerators (i-NG) provide power to cardiovascular implantable electronic devices (CIEDs) by harvesting biomechanical energy locally eliminating the need for batteries. However, its long-term operation and biological influences on the heart have not been tested. Here, we evaluate a soft and flexible i-NG system engineered for long-term in vivo cardiac implantation. It consisted of i-NG, leads, and receivers, and was implanted on the epicardium of swine hearts for 2 months. The i-NG system generated electric current throughout the testing period. Biocompatibility and biosafety were established based on normal blood and serum test results and no tissue reactions. Heart function was unchanged over the testing period as validated by normal electrocardiogram (ECG), transthoracic ultrasound, and invasive cardiac functional measures. This research demonstrates the safety, long term operation and therefore the feasibility of using i-NGs to power the next generation CIEDs.

Rejuvenation of Senescent Bone Marrow Mesenchymal Stromal Cells by Pulsed Triboelectric Stimulation

Stem cell senescence contributes to stem cell exhaustion and drives various aging-associated disorders. However, strategies to rejuvenate senescent stem cells are limited. The present study proposes an approach based on triboelectric stimulation to rejuvenate senescent bone marrow mesenchymal stromal cells (BMSCs) by fabricating a pulsed triboelectric nanogenerator (P-TENG) that can produce stable pulsed current output unaffected by the triggered frequency. The senescence phenotypes of aged BMSCs are reversed by triboelectric stimulation at 30 µA at 1.5 Hz. Triboelectric stimulation enhances the proliferation of aged BMSCs and increases their pluripotency and differentiation capacity. Additionally, mechanistic investigations reveal that pulsed triboelectric stimulation by P-TENG rejuvenates senescent BMSCs by enhancing MDM2-dependent p53 degradation, which is demonstrated by loss-of-function studies of MDM2 and p53. Overall, this study identifies a new approach for the rejuvenation of senescent BMSCs and describes a promising therapeutic intervention for many diseases associated with aged BMSCs.

Recent Advances of Energy Solutions for Implantable Bioelectronics

The emerging field of implantable bioelectronics has attracted widespread attention in modern society because it can improve treatment outcomes, reduce healthcare costs, and lead to an improvement in the quality of life. However, their continuous operation is often limited by conventional bulky and rigid batteries with a limited lifespan, which must be surgically removed after completing their missions and/or replaced after being exhausted. Herein, this paper gives a comprehensive review of recent advances in nonconventional energy solutions for implantable bioelectronics, emphasizing the miniaturized, flexible, biocompatible, and biodegradable power devices. According to their source of energy, the promising alternative energy solutions are sorted into three main categories, including energy storage devices (batteries and supercapacitors), internal energy-harvesting devices (including biofuel cells, piezoelectric/triboelectric energy harvesters, thermoelectric and biopotential power generators), and external wireless power transmission technologies (including inductive coupling/radiofrequency, ultrasound-induced, and photovoltaic devices). Their fundamentals, materials strategies, structural design, output performances, animal experiments, and typical biomedical applications are also discussed. It is expected to offer complementary power sources to extend the battery lifetime of bioelectronics while acting as an independent power supply. Thereafter, the existing challenges and perspectives associated with these powering devices are also outlined, with a focus on implantable bioelectronics.

Accelerated Skin Wound Healing by Electrical Stimulation

When the integrity of the skin got damaged, an endogenous electric field will be generated in the wound and a series of physiological reactions will be initiated to close the wound. The existence of the endogenous electric field of the wound has a promoting effect on all stages of wound healing. For wounds that cannot heal on their own, the exogenous electric field can assist the treatment. In this review, the effects of exogenous electrical stimulation on wound healing, such as the inflammation phase, blood flow, cell proliferation and migration, and the wound scarring is overviewed. This article also reviews the new electrical stimulation methods that have emerged in recent years, such as small power supplies, nanogenerators (NGs), and other physical, chemical or biological strategies. These new electrical stimulation methods and devices are safe, low-cost, stable, and small in size. The challenge and perspective are discussed for the future trends of the electrical stimulation treatment in accelerating skin wound healing.

Emerging Energy Harvesting Materials and Devices for Self-Powered Water Disinfection

Contaminated drinking water is one of the main pathogen transmission pathways making waterborne illnesses such as diarrheal diseases and gastroenteritis a huge threat to public health, especially in the areas where sanitation facilities and gird power are inadequate such as rural and disaster hit areas. Self-powered water disinfection systems are a promising solution in these cases. In this review paper, the authors provide an overview of the new and emerging methods of applying energy harvesting materials and devices as a source of power for water disinfection systems microbial disinfection in water by harnessing ambient forms of energy such as mechanical motion, light, and heat into electricity. The authors begin with a brief introduction of the different energy harvesting technologies commonly applied in water disinfection; triboelectric, piezoelectric, pyroelectric, and photovoltaic effects. Various microbial disinfection mechanisms and types of device construction are summarized. Then, a detailed discussion of the energy harvester-driven water disinfection process is provided. Finally, challenges and perspectives regarding the future development of self-powered water disinfection are described.

Recent advances of polymer-based piezoelectric composites for biomedical applications

Over the past decades, electronics have become central to many aspects of biomedicine and wearable device technologies as a promising personalized healthcare platform. Lead-free piezoelectric materials for converting mechanical into electrical energy through piezoelectric transduction are of significant value in a diverse range of technological applications. Organic piezoelectric biomaterials have attracted widespread attention as the functional materials in the biomedical devices due to their advantages of excellent biocompatibility. They include synthetic and biological polymers. Many biopolymers have been discovered to possess piezoelectricity in an appreciable amount, however their investigation is still preliminary. Due to their piezoelectric properties, better known synthetic fluorinated polymers have been intensively investigated and applied in biomedical applications including controlled drug delivery systems, tissue engineering, microfluidic and artificial muscle actuators, among others. Piezoelectric polymers, especially poly (vinylidene fluoride) (PVDF) and its copolymers are increasingly receiving interest as smart biomaterials due to their ability to convert physiological movements to electrical signals when in a controllable and reproducible manner. Despite possessing the greatest piezoelectric coefficients among all piezoelectric polymers, it is often desirable to increase the electrical outputs. The most promising routes toward significant improvements in the piezoelectric response and energy-harvesting performance of such materials is loading them with various inorganic nanofillers and/or applying some modification during the fabrication process. This paper offers a comprehensive review of the principles, properties, and applications of organic piezoelectric biomaterials (polymers and polymer/ceramic composites) with special attention on PVDF-based polymers and their composites in sensors, drug delivery and tissue engineering. Subsequently focuses on the most common fabrication routes to produce piezoelectric scaffolds, tissue and sensors which is electrospinning process. Promising upcoming strategies and new piezoelectric materials and fabrication techniques for these applications are presented to enable a future integration among these applications.

Comprehensive Review on Triboelectric Nanogenerator Based Wrist Pulse Measurement: Sensor Fabrication and Diagnosis of Arterial Pressure

As the world is marching into the era of the Internet of things (IoTs) and artificial intelligence (AI), the most vital requirement for reliable hardware development is an ultrafast response time and no performance degradation. As a reliable indicator of human physiological health, blood pressure measurement is vital in humans' daily lives, which creates a huge demand in monitoring and diagnosing blood pressure problems. The triboelectric nanogenerator (TENG) is one of the best energy devices and healthcare applications in the new era since triboelectrification is a universal and ubiquitous effect with an abundant choice of materials. TENG is reliable in physiological monitoring applications and has many benefits, including being inexpensive, easy to manufacture, and lightweight, having self-powered properties, and being available in a wide range of materials. In this review, triboelectric nanogenerator based wrist pulse measurement was summarized for blood pressure monitoring and diagnosis applications. As per the Ayurveda, imbalance in three essential components of the wrist pulse implies the human health status and reveals symptoms for diseases. The design of different TENG-based blood pressure sensors, sensing mechanisms, performance, merits, and demerits of each method are discussed.

Moderately Transparent Chitosan-PVA Blended Membrane for Strong Mechanical Stiffness and as a Robust Bio-Material Energy Harvester Through Contact-Separation Mode TENG

The detection of sustainable materials from naturally available resources using a simple fabrication process is highly important for novel research. Here, we used chitosan-PVA (Chs-PVA) blend films via layer-by-layer casting technologies for generating power through mechanical induction through triboelectric nanogenerators. The proposed Chs-PVA biodegradable film (i.e., thickness of 60 ± 5 μm) is facile, ecofriendly, highly flexible, mechanically strong, cost-effective, and easy to scale up. FT-IR analysis of the ChS-PVA blend membrane showed the strong interactions between the amines of ChS and hydroxyl groups of PVA through chemical cross-linking by hydrogen bonding. More importantly, the triboelectric nanogenerators (TENG) values of ChS-PVA films were 3–4 orders of magnitude lower than chitosan films reported before. Layer-on-layer cast films in particular exhibited high tensile strength (15.8 ± 1 MPa) and were more than three times stronger than other polyelectrolyte multilayer films. Both types of films remained stable in an acidic environment. Furthermore, the layer-on-layer-assembled films presented greater open circuit voltage (Voc) and short circuit current (Isc) values compared to pure ChS and PVA films. The ChS-PVA membrane can be used as a functional layer to produce charges by collecting get-up-and-go through vertical contact and separation mode TENG counters to the PVDF membrane. The enhancement of Voc and Isc of ChS-PVA TENG were 244 and 1,080% from ChS TENG. Where in the case of PVA TENG, the enhancement of Voc and Isc were increased by 633 and 2,888%, respectively due to the availability of free loan pair on the -NH2 and -OH functional groups. The novel ChS-PVA TENG is a potential candidate for satisfying the tight requirement of an optimized energy harvesting device as an alternate bio-material option for contact-separation mode TENGs.

Fabrication and application of biocompatible nanogenerators

As a new sustainable energy source, ubiquitous mechanical energy has received great attention and was successfully harvested by different types of nanogenerators. Among them, biocompatible nanogenerators are of particular interests due to their potential for biomedical applications. In this review, we provide an overview of the recent achievements in the fabrication and application of biocompatible nanogenerators. The development process and working mechanism of nanogenerators are introduced. Different biocompatible materials for energy harvesting, such as amino acids, peptide, silk protein, and cellulose, are discussed and compared. We then discuss different applications of biocompatible nanogenerators. We conclude with the challenges and potential research directions in this emerging field.

A Review of Piezoelectric Vibration Energy Harvesting with Magnetic Coupling Based on Different Structural Characteristics

Piezoelectric vibration energy harvesting technologies have attracted a lot of attention in recent decades, and the harvesters have been applied successfully in various fields, such as buildings, biomechanical and human motions. One important challenge is that the narrow frequency bandwidth of linear energy harvesting is inadequate to adapt the ambient vibrations, which are often random and broadband. Therefore, researchers have concentrated on developing efficient energy harvesters to realize broadband energy harvesting and improve energy-harvesting efficiency. Particularly, among these approaches, different types of energy harvesters adopting magnetic force have been designed with nonlinear characteristics for effective energy harvesting. This paper aims to review the main piezoelectric vibration energy harvesting technologies with magnetic coupling, and determine the potential benefits of magnetic force on energy-harvesting techniques. They are classified into five categories according to their different structural characteristics: monostable, bistable, multistable, magnetic plucking, and hybrid piezoelectric-electromagnetic energy harvesters. The operating principles and representative designs of each type are provided. Finally, a summary of practical applications is also shown. This review contributes to the widespread understanding of the role of magnetic force on piezoelectric vibration energy harvesting. It also provides a meaningful perspective on designing piezoelectric harvesters for improving energy-harvesting efficiency.

Flexible Nanogenerator from Electrospun PVDF-Polycarbazole Nanofiber Membranes for Human Motion Energy-Harvesting Device Applications

Poly(vinylidene difluoride) (PVDF) has become the polymer matrix of choice for fabrication of wearable electronics and physiological monitoring devices. Despite possessing a high piezoelectric constant, additives are required to increase the charge transfer from PVDF matrix to connected signal readout units. Many of these additives also stabilize the β-phase of PVDF, which is associated with highest piezoelectric coefficients. However, most of the additives used are often brittle ceramic-phase materials resulting in decreased flexibility of the devices and offsetting the gain in β-phase content. Intrinsically conducting polymers (ICP), on the other hand, are ideal candidates to improve the device-related properties of PVDF, due to their higher flexibility than ceramic fillers as well as ability to form conducting network in PVDF membranes. This work reports the performance and device feasibility of PVDF-polycarbazole (PCZ) electrospun nanofiber membranes. A higher β-phase was observed by FTIR spectroscopy in PVDF/PCZ compared to other PVDF phases. Moreover, a higher open-circuit potential was recorded over PVDF/polyaniline composites, which were studied for comparison. The addition of PCZ reduced the flexibility of pure PVDF nanofibers by 20% only. Besides, the work investigated the bacterial biofouling and cell compatibility of the matrix, as essential properties to examine any putative medical device application. PVDF/PCZ membranes were then used to develop a nanogenerator, which was capable of instantly lighting an entire LED array employing the rectified output power, and charged up a 2.2 μF capacitors using a bridge rectifier through a vertical compressive force applied periodically. Finally, the nanogenerator demonstrated electrical energy harvesting from movements of various parts of the human body, such as toe and heel movement and wrist bending. In conclusion, PCZ can be considered as an attractive, biocompatible, and anti-biofouling conducting polymer for electrical actuation and flexible electronic device applications.

Advances in triboelectric nanogenerators for biomedical sensing

Biomedical sensors have been essential in improving healthcare outcomes over the past 30 years, though limited power source access and user wearability restraints have prevented them from taking a constant and active biomedical sensing role in our daily lives. Triboelectric nanogenerators (TENGs) have demonstrated exceptional capabilities and versatility in delivering self-powered and wear-optimized biomedical sensors, and are paving the way for a novel platform technology able to fully integrate into the developing 5G/Internet-of-Things ecosystem. This novel paradigm of TENG-based biomedical sensors aspires to provide ubiquitous and omnipresent real-time biomedical sensing for us all. In this review, we cover the remarkable developments in TENG-based biomedical sensing which have arisen in the last octennium, focusing on both in-body and on-body biomedical sensing solutions. We begin by covering TENG as biomedical sensors in the most relevant, mortality-associated clinical fields of pneumology and cardiology, as well as other organ-related biomedical sensing abilities including ambulation. We also include an overview of ambient biomedical sensing as a field of growing interest in occupational health monitoring. Finally, we explore TENGs as power sources for third party biomedical sensors in a number of fields, and conclude our review by focusing on the future perspectives of TENG biomedical sensors, highlighting key areas of attention to fully translate TENG-based biomedical sensors into clinically and commercially viable digital and wireless consumer and health products.

Self-powered cardiovascular electronic devices and systems

Cardiovascular electronic devices have enormous benefits for health and quality of life but the long-term operation of these implantable and wearable devices remains a huge challenge owing to the limited life of batteries, which increases the risk of device failure and causes uncertainty among patients. A possible approach to overcoming the challenge of limited battery life is to harvest energy from the body and its ambient environment, including biomechanical, solar, thermal and biochemical energy, so that the devices can be self-powered. This strategy could allow the development of advanced features for cardiovascular electronic devices, such as extended life, miniaturization to improve comfort and conformability, and functions that integrate with real-time data transmission, mobile data processing and smart power utilization. In this Review, we present an update on self-powered cardiovascular implantable electronic devices and wearable active sensors. We summarize the existing self-powered technologies and their fundamental features. We then review the current applications of self-powered electronic devices in the cardiovascular field, which have two main goals. The first is to harvest energy from the body as a sustainable power source for cardiovascular electronic devices, such as cardiac pacemakers. The second is to use self-powered devices with low power consumption and high performance as active sensors to monitor physiological signals (for example, for active endocardial monitoring). Finally, we present the current challenges and future perspectives for the field.

Respiration-driven triboelectric nanogenerators for biomedical applications

As a fundamental and ubiquitous body motion, respiration offers a large amount of biomechanical energy with an average power up to the Watt level through movements of multiple muscles. The energy from respiration featured with excellent stability, accessibility and continuality inspires the design and engineering of biomechanical energy harvesting devices, such as triboelectric nanogenerators (TENGs), to realize human-powered electronics. This review article is thus dedicated to the emerging respiration-driven TENG technology, covering fundamentals, applications, and perspectives. Specifically, the human breathing mechanics are first introduced serving as the base for the developments of TENG devices with different configurations. Biomedical applications including electrical energy generation, healthcare monitoring, air filtration, gas sensing, electrostimulation, and powering implantable medical devices are then analyzed focusing on the design-application relationships. At last, current developments are summarized and critical challenges for driving these intriguing developments toward practical applications are discussed together with promising solutions.

Progress in lead-free piezoelectric nanofiller materials and related composite nanogenerator devices

Current piezoelectric device systems need a significant reduction in size and weight so that electronic modules of increasing capacity and functionality can be incorporated into a great range of applications, particularly in energy device platforms. The key question for most applications is whether they can compete in the race of down-scaling and an easy integration with highly adaptable properties into various system technologies such as nano-electro-mechanical systems (NEMS). Piezoelectric NEMS have potential to offer access to a parameter space for sensing, actuating, and powering, which is inflential and intriguing. Fortunately, recent advances in modelling, synthesis, and characterization techniques are spurring unprecedented developments in a new field of piezoelectric nano-materials and devices. While the need for looking more closely at the piezoelectric nano-materials is driven by the relentless drive of miniaturization, there is an additional motivation: the piezoelectric materials, which are showing the largest electromechanical responses, are currently toxic lead (Pb)-based perovskite materials (such as the ubiquitous Pb(Zr,Ti)O3, PZT). This is important, as there is strong legislative and moral push to remove toxic lead compounds from commercial products. By far, the lack of viable alternatives has led to continuing exemptions to allow their temporary use in piezoelectric applications. However, the present exemption will expire soon, and the concurrent improvement of lead-free piezoelectric materials has led to the possibility that no new exemption will be granted. In this paper, the universal approaches and recent progresses in the field of lead-free piezoelectric nano-materials, initially focusing on hybrid composite materials as well as individual nanoparticles, and related energy harvesting devices are systematically elaborated. The paper begins with a short introduction to the properties of interest in various piezoelectric nanomaterials and a brief description of the current state-of-the-art for lead-free piezoelectric nanostructured materials. We then describe several key methodologies for the synthesis of nanostructure materials including nanoparticles, followed by the discussion on the critical current and emerging applications in detail.

Emerging Implantable Energy Harvesters and Self-Powered Implantable Medical Electronics

Implantable energy harvesters (IEHs) are the crucial component for self-powered devices. By harvesting energy from organisms such as heartbeat, respiration, and chemical energy from the redox reaction of glucose, IEHs are utilized as the power source of implantable medical electronics. In this review, we summarize the IEHs and self-powered implantable medical electronics (SIMEs). The typical IEHs are nanogenerators, biofuel cells, electromagnetic generators, and transcutaneous energy harvesting devices that are based on ultrasonic or optical energy. A benefit from these technologies of energy harvesting in vivo, SIMEs emerged, including cardiac pacemakers, nerve/muscle stimulators, and physiological sensors. We provide perspectives on the challenges and potential solutions associated with IEHs and SIMEs. Beyond the energy issue, we highlight the implanted devices that show the therapeutic function in vivo.

Development of Sn-doped ZnO based ecofriendly piezoelectric nanogenerator for energy harvesting application

In this work, we have a demonstrated zinc oxide (ZnO) polymer-based ecofriendly piezoelectric nanogenerator (PENG) on a paper substrate for an energy harvesting application. The ZnO thin film is developed on the paper substrate, where different doping concentrations of Sn have been investigated systematically to validate the effect of doping towards enhancing the device performance. The piezoelectric potential of the fabricated device is evaluated by applying three different loads (4 N, 8 N, 22 N), where the source of the corresponding mechanical loads is based on the object of a musical drum stick. The results suggest that the pristine ZnO PENG device can generate a maximum output voltage and current of 2.15 V and 17 nA respectively. Moreover, the ZnO PENG device doped with 2.5% Sn achieved an even higher voltage (4.15 V) and current (36 nA) compared to pristine ZnO devices. In addition, the hydrothermal growth technique used to develop Sn-doped ZnO has the benefits of high scalability and low cost. Hence, the Sn-doped PENG device is a suitable candidate for energy harvesting applications operating in both uniform and non-uniform loading conditions.

Nanogenerator-Based Self-Powered Sensors for Wearable and Implantable Electronics

Wearable and implantable electronics (WIEs) are more and more important and attractive to the public, and they have had positive influences on all aspects of our lives. As a bridge between wearable electronics and their surrounding environment and users, sensors are core components of WIEs and determine the implementation of their many functions. Although the existing sensor technology has evolved to a very advanced level with the rapid progress of advanced materials and nanotechnology, most of them still need external power supply, like batteries, which could cause problems that are difficult to track, recycle, and miniaturize, as well as possible environmental pollution and health hazards. In the past decades, based upon piezoelectric, pyroelectric, and triboelectric effect, various kinds of nanogenerators (NGs) were proposed which are capable of responding to a variety of mechanical movements, such as breeze, body drive, muscle stretch, sound/ultrasound, noise, mechanical vibration, and blood flow, and they had been widely used as self-powered sensors and micro-nanoenergy and blue energy harvesters. This review focuses on the applications of self-powered generators as implantable and wearable sensors in health monitoring, biosensor, human-computer interaction, and other fields. The existing problems and future prospects are also discussed.